| Wound Pros Rhode Island | |
|
10 Dorrance St Ste 700 Providence RI 02903-2014 | |
| (888) 880-3451 | |
| Not Available |
| Full Name | Wound Pros Rhode Island |
|---|---|
| Speciality | General Practice |
| Location | 10 Dorrance St Ste 700, Providence, Rhode Island |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8888803451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros Rhode Island 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 | Wound Pros Rhode Island 10 Dorrance St Ste 700 Providence RI 02903-2014 Ph: (888) 880-3451 |
| NPI Number | 1497487169 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497487169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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